Relationships of soluble E-selectin and high-sensitivity C-reactive protein with carotid atherosclerosis in Japanese men
Related Experiment Video
Updated: Jun 21, 2026

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Susumu Sakurai1, Akihiko Kitamura, Renzhe Cui
1Department of Public Health, Doctoral Program in Social Medicine, Graduate School of Medicine, Ehime University, Ehime, Japan.
Insights
Soluble E-selectin (sE-selectin) and high-sensitivity C-reactive protein (hs-CRP) are associated with carotid atherosclerosis. Higher levels of these biomarkers correlate with increased carotid intima-media thickness and plaque prevalence in Japanese men.
Area of Science:
- Cardiovascular Medicine
- Biomarkers
- Atherosclerosis Research
Background:
- E-selectin and C-reactive protein are implicated in carotid atherosclerosis.
- Previous findings on their association with carotid atherosclerosis have been inconsistent.
Purpose of the Study:
- To investigate the association of soluble E-selectin (sE-selectin) and high-sensitivity C-reactive protein (hs-CRP) with carotid intima-media thickness (IMT).
- To evaluate the relationship between these biomarkers and the prevalence of heterogeneous plaque in Japanese men.
Main Methods:
- Cross-sectional study involving 505 Japanese men aged 60-74 years.
- Measurement of serum sE-selectin and hs-CRP levels.
- Assessment of maximum carotid intima-media thickness (IMT) in common (CCA) and internal carotid arteries (ICA).
- Statistical analysis adjusted for age, cardiovascular risk factors, and other biomarkers.
Main Results:
- sE-selectin levels were positively associated with maximum CCA and ICA IMT.
- hs-CRP levels showed a trend towards positive association with maximum CCA IMT.
- Higher tertiles of both sE-selectin and hs-CRP were associated with a higher prevalence of heterogeneous plaque.
Conclusions:
- Serum levels of sE-selectin and hs-CRP may serve as potential biomarkers for atherosclerosis.
- These findings suggest their utility in assessing atherosclerosis risk in the general population.
Aim:
E-selectin and C-reactive protein have been linked with carotid atherosclerosis; however, the findings on this association have been inconsistent.
Methods And Results:
We conducted a cross-sectional study to examine the associations of soluble E-selectin (sE-selectin) and high-sensitivity-CRP (hs-CRP) levels with carotid intima-media thickness (IMT) in 505 Japanese men aged 60-74 years. Maximum IMT of common (CCA) and internal carotid arteries (ICA) was positively associated with sE-selectin levels after adjustment for age, hs-CRP and other cardiovascular risk factors: means of maximum CCA IMT were 1.12, 1.21 and 1.27 mm for the lowest to highest tertiles of sE-selectin, respectively, p=0.04, and those of ICA IMT were 1.73, 2.09 and 2.09 mm, respectively, p=0.009. Maximum IMT of CCA tended to be positively associated hs-CRP levels after adjustment for age, sE-selectin and other cardiovascular risk factors: means of maximum CCA IMT were 1.10, 1.25, and 1.26 mm, for the lowest to highest tertiles of hs-CRP, respectively, p=0.06. Compared with subjects with the lowest tertiles of sE-selectin and hs-CRP, those with the highest tertiles had a higher prevalence of heterogeneous plaque: multivariable odds ratios were 2.2 (1.03.7), p=0.002 and 1.6 (1.02.7), p=0.046, respectively.
Conclusions:
Serum levels of sE-selectin and hs-CRP could be biomarkers for atherosclerosis in general populations.
Related Concept Videos
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Coronary Artery Disease I: Introduction
Selectins
Atherosclerosis I: Introduction
Atherosclerosis III: Management
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
